US10166338B2 - Drug delivery system and device with cap function - Google Patents

Drug delivery system and device with cap function Download PDF

Info

Publication number
US10166338B2
US10166338B2 US13/496,671 US201013496671A US10166338B2 US 10166338 B2 US10166338 B2 US 10166338B2 US 201013496671 A US201013496671 A US 201013496671A US 10166338 B2 US10166338 B2 US 10166338B2
Authority
US
United States
Prior art keywords
drug
cap
main portion
drug delivery
reservoir
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related, expires
Application number
US13/496,671
Other versions
US20120232474A1 (en
Inventor
Karsten Baker Nielsen
Andre Larsen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Novo Nordisk AS
Original Assignee
Novo Nordisk AS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Novo Nordisk AS filed Critical Novo Nordisk AS
Priority to US13/496,671 priority Critical patent/US10166338B2/en
Assigned to NOVO NORDISK A/S reassignment NOVO NORDISK A/S ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: LARSEN, ANDRE, NIELSEN, KARSTEN BAKER
Publication of US20120232474A1 publication Critical patent/US20120232474A1/en
Application granted granted Critical
Publication of US10166338B2 publication Critical patent/US10166338B2/en
Expired - Fee Related legal-status Critical Current
Adjusted expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/24Ampoule syringes, i.e. syringes with needle for use in combination with replaceable ampoules or carpules, e.g. automatic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/32Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3202Devices for protection of the needle before use, e.g. caps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/32Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
    • A61M5/321Means for protection against accidental injuries by used needles
    • A61M5/3213Caps placed axially onto the needle, e.g. equipped with finger protection guards
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/24Ampoule syringes, i.e. syringes with needle for use in combination with replaceable ampoules or carpules, e.g. automatic
    • A61M2005/2403Ampoule inserted into the ampoule holder
    • A61M2005/2407Ampoule inserted into the ampoule holder from the rear
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/60General characteristics of the apparatus with identification means
    • A61M2205/6045General characteristics of the apparatus with identification means having complementary physical shapes for indexing or registration purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31533Dosing mechanisms, i.e. setting a dose
    • A61M5/31545Setting modes for dosing
    • A61M5/31548Mechanically operated dose setting member
    • A61M5/3155Mechanically operated dose setting member by rotational movement of dose setting member, e.g. during setting or filling of a syringe
    • A61M5/31551Mechanically operated dose setting member by rotational movement of dose setting member, e.g. during setting or filling of a syringe including axial movement of dose setting member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31565Administration mechanisms, i.e. constructional features, modes of administering a dose
    • A61M5/31576Constructional features or modes of drive mechanisms for piston rods
    • A61M5/31583Constructional features or modes of drive mechanisms for piston rods based on rotational translation, i.e. movement of piston rod is caused by relative rotation between the user activated actuator and the piston rod
    • A61M5/31585Constructional features or modes of drive mechanisms for piston rods based on rotational translation, i.e. movement of piston rod is caused by relative rotation between the user activated actuator and the piston rod performed by axially moving actuator, e.g. an injection button

Definitions

  • the present invention generally relates to medical delivery devices.
  • the invention relates to injection devices adapted for transcutaneous delivery of an amount of drug.
  • Drug injection devices typically for subcutaneous delivery have greatly improved the lives of patients who must self-administer drugs and biological agents.
  • Drug injection devices may take many forms, including simple disposable devices that are little more than an ampoule with an injection means or they may be highly sophisticated electronically controlled instruments with numerous functions. Regardless of their form, they have proven to be great aids in assisting patients to self-administer injectable drugs and biological agents. They also greatly assist care givers in administering injectable medicines to those incapable of performing self-injections.
  • pen-style injection devices have proven to provide an accurate, convenient, and often discrete, way to administer drugs and biological agents, such as insulin. Modern devices have become more sophisticated and often include diverse and robust functions, such as memories for remembering time and amount of last dose, as well as, in the case of insulin devices, blood glucose monitors. While pen-style injection devices are typically cylindrically shaped with a needle protruding from the most distal portion of one end of the device, some devices have other shapes with the needle no longer protruding from the most distal part of an end of the device, e.g. Innovo® and InnoLet® from Novo Nordisk A/S, Bagsvaerd, Denmark.
  • injection devices use a pre-filled cartridge containing the medication of interest, e.g. 1.5 or 3.0 ml of insulin or growth hormone.
  • the cartridge is typically in the form of a generally cylindrical transparent ampoule with a needle pierceable septum at one end and an opposed piston designed to be moved by the dosing mechanism of the injection device.
  • the injection devices generally are of two types: “Durable” devices and “disposable” devices.
  • a durable device is designed to allow a user to replace one cartridge with another cartridge, typically a new cartridge in place of an empty cartridge.
  • a disposable device is provided with an integrated cartridge which cannot be replaced by the user; when the cartridge is empty the entire device is discarded.
  • Most injection devices are provided with a releasable pen cap covering the cartridge and the needle mount portion (see below), this allowing the user to inspect the content of the cartridge by removing the cap.
  • injection devices are provided as a system or family of devices containing different types of drugs, e.g. as known from WO 2004/069314.
  • This application discloses a system of substantially identical injection devices, each individual injection device comprising a housing accommodating an ampoule containing drug sufficient for a number of injections and a dose setting mechanism by which a predetermined dose size can be set, and wherein each of the plurality of injection devices has a different predetermined dose size.
  • the difference in the predetermined dose sizes can in one embodiment be based on the drug in the devices having different strength.
  • People suffering from diabetes are often treated with multiple daily injections in a regimen comprising one or two daily injections of long acting insulin to cover the basal requirement supplemented by bolus injections of short or rapid acting insulin to cover requirements related to meals.
  • a user will therefore often require two different injection devices, one containing the long acting insulin and another containing the short or rapid acting insulin. Often these injection devices have different colour indications to inform the user of the kind of insulin contained in the injection device.
  • the FlexPen® system offered by Novo Nordisk comprises pens for long and short acting insulins as well as for mixed insulin, the bodies and caps being identical with colour markings on the main body to differentiate the two types of insulin.
  • the SoloStar® system offered by Sanofi-Aventis the pens for long and short acting insulins have differently coloured bodies as well as caps.
  • these injection devices can be provided with tactile means such as a mechanical coding informing the user of the kind of insulin contained in the injection device.
  • DE U 201 10 689 discloses a pen-shaped injection device having a cap with a clip for holding the injection device e.g. in a pocket of a shirt.
  • the injection device is contained in a cut-out in a box.
  • the physical shape of the injection device is according to this reference designed such that the right injection device fits into the right box. This is according to the prior art done by having devices with different of length of the clip and boxes with a similar shaped cut-out.
  • DE 201 10 690 discloses an injection device comprising a driver portion, a cartridge and a cartridge holder.
  • the cartridge holder can be provided with a coded ring-shaped protecting member which allows only a specifically configured cartridge to be mounted in the cartridge holder.
  • Another technique for drug delivery is to use pulmonary delivery of an aerosolized pharmaceutical formulation so that the active drug within the dispersion can reach the more or less distal regions of the lung.
  • This way of administration has been used extensively for e.g. local administration of drugs for treatment of respiratory deceases, e.g. asthma, but has also been proposed for the treatment of diabetes with insulin.
  • a variety of aerosolization systems have been proposed to disperse pharmaceutical formulations. For example, U.S. Pat. No. 5,785,049 and U.S. Pat. No. 5,740,794, the disclosures of which are herein incorporated by reference, describe exemplary powder dispersion devices which utilize a compressed gas to aerosolize a powder.
  • aerosolization systems include so-called MDI's (which typically have a drug that is stored in a propellant), nebulizers (which aerosolize liquids using compressed gas, usually air), and the like.
  • MDI's which typically have a drug that is stored in a propellant
  • nebulizers which aerosolize liquids using compressed gas, usually air
  • Another technique is the use of inspired gases to disperse the pharmaceutical formulation. In this way, the patient is able to provide the energy needed to aerosolize the formulation by the patient's own inhalation.
  • injection devices it may also be necessary to use two or more inhalation devices.
  • a system comprising at least first and second drug delivery devices.
  • the first drug delivery device comprises a first main portion comprising a first reservoir holding a first type of drug, a first drug outlet, and first drug expelling means (e.g. mechanical means operated by the user of by electric power or a pressurized propellant) for expelling drug from the first reservoir through the first drug outlet, as well as a first cap releasably mountable to the first main portion to enclose the first drug outlet, the first cap comprising a first user-identifiable marking (e.g. visual or tactile) indicating the first type of drug.
  • first drug expelling means e.g. mechanical means operated by the user of by electric power or a pressurized propellant
  • the second drug delivery device comprises a second main portion comprising a second reservoir holding a second type of drug, a second drug outlet, and second drug expelling means for expelling drug from the second reservoir through the second drug outlet, as well as a second cap releasably mountable to the second main portion to enclose the second mount, the second cap comprising a second user-identifiable marking indicating the second type of drug.
  • the cap and main portion of each drug delivery device comprise a pair of corresponding key structures preventing the first cap from being mounted on the second main portion, and the second cap from being mounted on the first main portion. Indeed, this feature would be the case for any two completely different devices, thus the drug delivery devices in the system of the present invention are based on the same technology platform.
  • “Technology platform” is meant to mean the basic structure upon which the injection devices in the system are based, e.g. the mechanism for setting and expelling a dose of fluid drug from a drug-filled cartridge.
  • the injection devices of the system must work by the same mechanical principles i.e. the individual constructional components of each injection device must be the same and interact in the same way.
  • Technology platform products share underlying structures or basic architectures that are common across a group of products or that will be the basis of a series of products commercialized over a number of years. Several products may be derived from a common technology platform. Members of a product family normally have many common parts and assemblies.
  • two drug delivery devices sharing the same technology platform may in accordance with the present invention have e.g. at least 50%, 75% or 90% interchangeable parts (excluding non-structural parts as e.g. labels).
  • the parts may be morphologically identical or they may be fully identical.
  • the cap By providing a system in which a given device cap can only be mounted on a corresponding device main portion the cap can be used to safely identify the drug content of a given drug delivery device without the risk of a user mounting a given cap on a non-corresponding device main portion with the possible risk of taking the wrong medication, e.g. mounting a cap indicating short acting insulin on a main device portion containing long acting insulin.
  • the different caps of the system may vary by e.g. colour and/or physical configuration.
  • the above-described coding feature provides a drug delivery system which is much safer in use than previous systems on the markets using e.g. colour marked caps, such caps being identical apart from the colour and thus allowing non-corresponding caps and main portions to be attached to each other with the resulting possible risk of taking the wrong medication.
  • the delivery system may comprise at least one further drug delivery device, each further device having a main portion and a cap comprising a pair of corresponding key structures, wherein the key structure of any given cap prevents the given cap to be mounted on a main portion of another drug delivery device of the system.
  • each cap may be arranged interiorly in the cap, whereas each main portion of the system may comprise a reservoir holder enclosing at least a portion of a reservoir, the reservoir holder comprising the key structure of the main portion.
  • the corresponding key structures may be electronic or electric, e.g. in case the cap and/or the main portion comprise electronic means, placing a non-corresponding cap on a given main portion would result in the cap and/or main portion producing an alarm, e.g. a visual, tactile or sound signal.
  • the drug delivery devices are drug injection devices adapted to expel a liquid drug formulation from a reservoir, e.g. a cartridge comprising a displaceable piston.
  • the means for displacing the piston and thereby expel drug may be in the form of a user settable and user actuated mechanism, e.g. as disclosed in U.S. Pat. No. 6,004,297 or US 2009/054839 which are hereby incorporated by reference.
  • each main portion comprises a mount for mounting a needle assembly in fluid communication with the reservoir, the corresponding cap being adapted to enclose the mount when mounted on the main portion.
  • the system may correspondingly comprise one or more needle assemblies each comprising a hub adapted to be mounted on any of the mounts of the system, and a hollow needle mounted in the hub and comprising a distal pointed end and a proximal end, the proximal end being adapted to be arranged in fluid communication with a reservoir when the hub is mounted on a mount.
  • the caps of the system may be adapted to enclose a needle assembly mounted on the mount.
  • each main portion comprises a mouthpiece, the corresponding cap being adapted to enclose the mouthpiece when mounted on the main portion.
  • the cap may be provided with one or more inspection openings or windows allowing a user to inspect at least a portion of a mounted needle assembly. In this way a user does not have to remove the cap to check if a needle assembly is mounted or to check the reservoir.
  • the main portion may be provided with a user-inspectable portion adapted to be covered by the cap in a mounted position, the cap being provided with one or more inspection openings or windows allowing a user to inspect at least a portion of the user-inspectable portion when the cap is mounted on the main portion.
  • the user-inspectable portion may comprise a transparent reservoir portionallowing a user to inspect drug contained in the reservoir or the position of a piston located in the reservoir.
  • the cap may be provided with a second set of inspection openings or windows arranged generally opposite the first set, this allowing light to travel through the reservoir.
  • the cap may be generally non-transparent and be provided with one or more transparent windows, the transparent windows comprising means for reducing transmission of light detrimental to drug contained in the reservoir, e.g. a UV filter.
  • the cap may optionally be provided with the additional features described in co-pending applications PCT/EP2010/058322.
  • the main portion of the drug delivery device comprises a reservoir
  • the different embodiments may be adapted to receive a replaceable reservoir, e.g. a cartridge or canister to be used in combination with a durable type delivery device.
  • drug is meant to encompass any drug-containing formulation capable of being administered to a patient in a controlled manner, e.g. passed through a delivery means such as a cannula or hollow needle, such as a liquid, solution, gel or fine suspension, or passed through a nozzle or mouthpiece as an aerosol or powder.
  • Representative drugs include pharmaceuticals such as peptides (e.g. insulins, insulin containing drugs, GLP-1 containing drugs as well as derivates thereof), proteins, and hormones, biologically derived or active agents, hormonal and gene based agents, nutritional formulas and other substances in either solid (dispensed), powder or liquid form.
  • peptides e.g. insulins, insulin containing drugs, GLP-1 containing drugs as well as derivates thereof
  • proteins e.g. insulins, insulin containing drugs, GLP-1 containing drugs as well as derivates thereof
  • hormones e.g. insulins, insulin containing drugs, GLP-1 containing drugs as well as derivates thereof
  • FIG. 1 shows a first embodiment of a drug delivery pen and a needle assembly
  • FIG. 2 shows two pairs of pen caps and cartridge holders corresponding to a first embodiment of the invention
  • FIG. 3 shows match and mismatch of pen caps and cartridge holders of the first embodiment
  • FIG. 4 shows three pairs of pen caps and cartridge holders corresponding to a second embodiment of the invention
  • FIG. 5 shows match and mismatch of pen caps and cartridge holders of the second embodiment.
  • the device corresponds to the general type of device to which the present invention relates but does not incorporate the present invention.
  • the pen comprises a cap portion (or “pen cap”) 100 and a main (or body) portion 3 having a proximal part 4 in which a drug expelling mechanism is arranged, and a distal reservoir part 5 in which a drug-filled transparent cartridge 6 with a distal needle-penetratable septum is arranged and hold in place by a cartridge holder 7 mounted to the proximal part, the cartridge holder having openings allowing a portion of the cartridge to be inspected.
  • the cartridge is provided with a piston 8 driven by a piston rod 9 forming part of the expelling mechanism.
  • a proximal-most button 10 serves to manually set and expel a desired dose of drug.
  • This type of a pen-formed drug delivery device is well known, see e.g. WO 99/38554 to which reference is made for further details in respect of the internal construction of the shown type of pen.
  • the pen is a disposable pre-filled device in which the cartridge holder is permanently attached to the proximal part of the main part, the cartridge holder being provided with distal coupling means in the form of an external thread 11 adapted to engage an inner thread of a needle assembly, see below.
  • the pen may be a “durable” device in which the cartridge holder is releasably attached to the main part, this allowing the piston rod to be pushed back and a new cartridge to be mounted.
  • the connection for the needle assembly may be part of the cartridge.
  • the pen cap 100 made from a non-transparent material comprises a generally cylindrical sleeve 101 with a proximal closed end and a distal opening 102 , a pocket clip 103 and an inspection opening 104 .
  • the proximal end is provided with two opposed generally planar gripping surfaces 110 . Special features like e.g. the inspection opening and the gripping surfaces are not relevant for the present invention.
  • FIG. 1 further shows a needle assembly comprising a hollow infusion needle 21 mounted a cup-formed hub 22 with an inner coupling means in the form of a thread adapted to connect to the external thread 11 of the pen device.
  • the needle comprises a distal pointed portion protruding from the hub as well as a proximal pointed portion adapted to penetrate the cartridge septum when the hub 22 is mounted on the thread 11 .
  • a bayonet coupling may be used instead of the threaded connection, e.g. the cup may be provided with a plurality of inwardly projecting protrusions adapted to engage corresponding grooves formed distally on the pen device as disclosed in US 2008/0015519 and shown in FIG. 4 .
  • the needle assembly further comprises a needle cap 23 with a skirt portion 24 adapted to releasably engage the hub to thereby protect the distal end of the needle.
  • the needle is normally provided sterile in a container (not shown) having an opening sealed by a peelable membrane, the container being in releasable, e.g. frictional, engagement with the needle hub.
  • the pen-formed drug delivery device 1 and the needle assembly together form a system.
  • FIG. 2 shows a pair of a first cartridge holder 210 and corresponding first pen cap 220 (in fact, two identical first caps are shown), the pen having a number of axially arranged ribs at the proximal end and the cap having a number of corresponding projections at its proximal end adapted to fit between the ribs.
  • the first cartridge holder is provided with three ribs in the form of a central wider rib 212 and two more narrow outer ribs on each side, thereby forming two cartridge slots 214 , 215 , the central rib protruding distally relative to the outer ribs.
  • the cap comprises a proximal cut-out portion 221 with two opposed axially arranged edges 226 , 227 between which two axially oriented projections 224 , 225 are arranged, thereby forming a first central cap slot 222 between the two projections as well as second and third cap slots 228 , 229 between each projection and its neighbouring edge.
  • the proximal free end surfaces of the projections are inclined towards the central slot.
  • the specific combination of ribs 212 , 211 , 213 characterized by e.g. their number, width and spacing provide a “key hole” pattern into which a corresponding “key” pattern formed by the cap slots 222 , 228 , 229 will fit, this as illustrated by the lower matching pair of a cartridge holder and cap shown in FIG. 3 .
  • the inclined surfaces of the on the cap projections help guide the central rib 212 into the gap between the projections.
  • FIG. 2 also shows a second cartridge holder 310 provided with a similar set of ribs 311 , 312 , 313 as on the first cartridge holder, however, the spacing between the ribs are different, this preventing the first cap to be mounted on the second cartridge as illustrated by the upper non-matching pair of cartridge holder and cap shown in FIG. 3 .
  • a second cap (not shown) with a key corresponding to the second cartridge holder will be provided in a system in accordance with the invention, such a second cap having a combination of slots allowing it to be mounted on the second cap 310 but not on the first cap 210 .
  • a system in accordance with the invention may comprise three or more matching pairs of a cartridge holder and pen cap, the spacing and width of the ribs and corresponding slots being unique for each such pair.
  • FIG. 4 shows in part a system 2 comprising a first pair of a first cartridge holder 410 and corresponding first pen cap 420 , a second pair of a second cartridge holder 510 and corresponding second pen cap 520 , and a third pair of a third cartridge holder 610 and corresponding third pen cap 620 .
  • the main portions of the drug delivery devices are represented only by the cartridge holders, however, the remaining part of each main portion may have the same general configuration as the drug delivery device shown and described with reference to FIG. 1 .
  • the cartridge holders and the pen caps have the same general configuration comprising a number of common features which will be described with reference to the first pair.
  • the cartridge holder 410 comprises a central portion adapted to hold a drug cartridge and being provided with a number of windows or openings 401 allowing a drug-filled transparent cartridge to be inspected by a user, a proximal portion 402 adapted to engage a pen body, and a distal portion 403 comprising a mount in the form of a bayonet coupling for a needle assembly.
  • the cartridge holder coding structure comprises first, second and third axially oriented grooves 411 , 412 , 413 with a pair of axially oriented ribs 415 , 416 arranged between the first and second respectively the second and third groove.
  • the ribs are flush with the surrounding general surface of the cartridge holder.
  • the distally facing free end surfaces 418 , 419 of the ribs and the neighbouring cartridge holder are inclined towards the central second groove, thereby serving as a guide for the key structures on the cab, see below.
  • the central groove also serves as a window to allow inspection of the cartridge.
  • the pen cap 420 in FIG. 4 is shown in a longitudinal cross-sectional view disclosing one of two pairs of 180 degrees opposed “key” coding structures arranged on the proximal inner surface of the pen cap, i.e. the shown key is adapted to engage the opposed hidden key hole structure on the cartridge holder 410 .
  • the coding structure comprises first, second and third axially oriented ribs 421 , 422 , 423 with a pair of axially oriented grooves 415 , 416 arranged between the first and second respectively the second and third rib.
  • the grooves are flush with the surrounding general inner surface of the pen cap.
  • the coding structures may be arranged proximally on the cartridge with the cap coding structures arranged in the vicinity of the cap opening.
  • the specific spacing and width of the ribs 421 , 422 , 423 corresponds to the spacing and width of the grooves 411 , 412 , 413 on the cartridge holder 410 , this allowing the first pen cap 420 to be axially mounted on the first cartridge holder 410 .
  • FIG. 5 also shows how the specific spacing of ribs 621 , 622 , 623 and grooves 511 , 512 , 513 prevents the third cap 620 to axially engage the second cartridge holder.
  • the three different cartridge holders could be permanently attached to three pen main bodies and used to hold three drug cartridges containing three different drugs, the three pen caps being provided in three different colours corresponding to the different drugs.
  • the coding system of the invention would prevent a wrong cap to be mounted on a given cartridge holder, thereby reducing the risk that a user would grab and use a wrong pen comprising the wrong drug.
  • a system comprising two or more inhalation devices, each device comprising aerosol generating means, an outlet in the form of a mouthpiece and a protective cap adapted to be mounted on the mouthpiece, e.g. as known from U.S. Pat. No. 7,278,425 which is hereby incorporated by reference.
  • the corresponding key structures may be arranged on the mouthpiece respectively the cap.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Environmental & Geological Engineering (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Closures For Containers (AREA)

Abstract

A system comprising first and second drug delivery devices (1) based on the same technology platform, each comprising a main portion (3) with a reservoir holding a type of drug, a drug outlet, and drug expelling means for expelling drug from the reservoir through the drug outlet, as well as a cap (100) releasably mountable to the main portion to enclose the drug outlet, each cap comprising a unique user-identifiable marking indicating the corresponding type of drug. The cap and main portion of each drug delivery device comprise a pair of corresponding key structures preventing the first cap from being mounted on the second main portion, and the second cap from being mounted on the first main portion.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS
This application is a 35 U.S.C. § 371 national stage application of International Patent Application PCT/EP2010/063246 (published as WO 2011/032883), filed Sep. 9, 2010, which claimed priority of European Patent Application 09170841.2, filed Sep. 21, 2009, and European Patent Application 09174420.1, filed Oct. 29, 2009; this application further claims priority under 35 U.S.C. § 119 of U.S. Provisional Application 61/258,043, filed. Nov. 4, 2009.
The present invention generally relates to medical delivery devices. In specific embodiments the invention relates to injection devices adapted for transcutaneous delivery of an amount of drug.
BACKGROUND OF THE INVENTION
In the disclosure of the present invention reference is mostly made to the treatment of diabetes by delivery of insulin-containing drugs, however, this is only an exemplary use of the present invention.
Drug injection devices (typically for subcutaneous delivery) have greatly improved the lives of patients who must self-administer drugs and biological agents. Drug injection devices may take many forms, including simple disposable devices that are little more than an ampoule with an injection means or they may be highly sophisticated electronically controlled instruments with numerous functions. Regardless of their form, they have proven to be great aids in assisting patients to self-administer injectable drugs and biological agents. They also greatly assist care givers in administering injectable medicines to those incapable of performing self-injections.
In particular pen-style injection devices have proven to provide an accurate, convenient, and often discrete, way to administer drugs and biological agents, such as insulin. Modern devices have become more sophisticated and often include diverse and robust functions, such as memories for remembering time and amount of last dose, as well as, in the case of insulin devices, blood glucose monitors. While pen-style injection devices are typically cylindrically shaped with a needle protruding from the most distal portion of one end of the device, some devices have other shapes with the needle no longer protruding from the most distal part of an end of the device, e.g. Innovo® and InnoLet® from Novo Nordisk A/S, Bagsvaerd, Denmark.
Typically, injection devices use a pre-filled cartridge containing the medication of interest, e.g. 1.5 or 3.0 ml of insulin or growth hormone. The cartridge is typically in the form of a generally cylindrical transparent ampoule with a needle pierceable septum at one end and an opposed piston designed to be moved by the dosing mechanism of the injection device. The injection devices generally are of two types: “Durable” devices and “disposable” devices. A durable device is designed to allow a user to replace one cartridge with another cartridge, typically a new cartridge in place of an empty cartridge. In contrast, a disposable device is provided with an integrated cartridge which cannot be replaced by the user; when the cartridge is empty the entire device is discarded. Most injection devices are provided with a releasable pen cap covering the cartridge and the needle mount portion (see below), this allowing the user to inspect the content of the cartridge by removing the cap.
Often injection devices are provided as a system or family of devices containing different types of drugs, e.g. as known from WO 2004/069314. This application discloses a system of substantially identical injection devices, each individual injection device comprising a housing accommodating an ampoule containing drug sufficient for a number of injections and a dose setting mechanism by which a predetermined dose size can be set, and wherein each of the plurality of injection devices has a different predetermined dose size. The difference in the predetermined dose sizes can in one embodiment be based on the drug in the devices having different strength.
People suffering from diabetes are often treated with multiple daily injections in a regimen comprising one or two daily injections of long acting insulin to cover the basal requirement supplemented by bolus injections of short or rapid acting insulin to cover requirements related to meals.
A user will therefore often require two different injection devices, one containing the long acting insulin and another containing the short or rapid acting insulin. Often these injection devices have different colour indications to inform the user of the kind of insulin contained in the injection device. For example, the FlexPen® system offered by Novo Nordisk comprises pens for long and short acting insulins as well as for mixed insulin, the bodies and caps being identical with colour markings on the main body to differentiate the two types of insulin. In the SoloStar® system offered by Sanofi-Aventis the pens for long and short acting insulins have differently coloured bodies as well as caps. In addition these injection devices can be provided with tactile means such as a mechanical coding informing the user of the kind of insulin contained in the injection device. DE U 201 10 689 discloses a pen-shaped injection device having a cap with a clip for holding the injection device e.g. in a pocket of a shirt. The injection device is contained in a cut-out in a box. The physical shape of the injection device is according to this reference designed such that the right injection device fits into the right box. This is according to the prior art done by having devices with different of length of the clip and boxes with a similar shaped cut-out. DE 201 10 690 discloses an injection device comprising a driver portion, a cartridge and a cartridge holder. The cartridge holder can be provided with a coded ring-shaped protecting member which allows only a specifically configured cartridge to be mounted in the cartridge holder.
Another technique for drug delivery is to use pulmonary delivery of an aerosolized pharmaceutical formulation so that the active drug within the dispersion can reach the more or less distal regions of the lung. This way of administration has been used extensively for e.g. local administration of drugs for treatment of respiratory deceases, e.g. asthma, but has also been proposed for the treatment of diabetes with insulin. A variety of aerosolization systems have been proposed to disperse pharmaceutical formulations. For example, U.S. Pat. No. 5,785,049 and U.S. Pat. No. 5,740,794, the disclosures of which are herein incorporated by reference, describe exemplary powder dispersion devices which utilize a compressed gas to aerosolize a powder. Other types of aerosolization systems include so-called MDI's (which typically have a drug that is stored in a propellant), nebulizers (which aerosolize liquids using compressed gas, usually air), and the like. Another technique is the use of inspired gases to disperse the pharmaceutical formulation. In this way, the patient is able to provide the energy needed to aerosolize the formulation by the patient's own inhalation. Corresponding to the administration of two or more drugs using injection devices, it may also be necessary to use two or more inhalation devices.
Although the prior art discloses a number of solutions of how to differentiate similar or otherwise identical drug delivery devices containing different kinds of drugs, there is still a need for drug delivery devices which in a simple and effective manner provides a strong identification of the kind of drug contained in a specific device, this reducing the risk of a user inadvertently taking the incorrect kind of drug.
Having regard to the above, it is an object of the present invention to provide a system of drug delivery devices which in a simple and cost-effective manner reduces the likelihood of a user taking the wrong kind of drug.
DISCLOSURE OF THE INVENTION
In the disclosure of the present invention, embodiments and aspects will be described which will address one or more of the above objects or which will address objects apparent from the below disclosure as well as from the description of exemplary embodiments.
Thus, in accordance with a first aspect a system is provided comprising at least first and second drug delivery devices. The first drug delivery device comprises a first main portion comprising a first reservoir holding a first type of drug, a first drug outlet, and first drug expelling means (e.g. mechanical means operated by the user of by electric power or a pressurized propellant) for expelling drug from the first reservoir through the first drug outlet, as well as a first cap releasably mountable to the first main portion to enclose the first drug outlet, the first cap comprising a first user-identifiable marking (e.g. visual or tactile) indicating the first type of drug. The second drug delivery device comprises a second main portion comprising a second reservoir holding a second type of drug, a second drug outlet, and second drug expelling means for expelling drug from the second reservoir through the second drug outlet, as well as a second cap releasably mountable to the second main portion to enclose the second mount, the second cap comprising a second user-identifiable marking indicating the second type of drug. The cap and main portion of each drug delivery device comprise a pair of corresponding key structures preventing the first cap from being mounted on the second main portion, and the second cap from being mounted on the first main portion. Indeed, this feature would be the case for any two completely different devices, thus the drug delivery devices in the system of the present invention are based on the same technology platform.
“Technology platform” is meant to mean the basic structure upon which the injection devices in the system are based, e.g. the mechanism for setting and expelling a dose of fluid drug from a drug-filled cartridge. In order to be based on the same technology platform, the injection devices of the system must work by the same mechanical principles i.e. the individual constructional components of each injection device must be the same and interact in the same way. Technology platform products share underlying structures or basic architectures that are common across a group of products or that will be the basis of a series of products commercialized over a number of years. Several products may be derived from a common technology platform. Members of a product family normally have many common parts and assemblies. Thus, two drug delivery devices sharing the same technology platform may in accordance with the present invention have e.g. at least 50%, 75% or 90% interchangeable parts (excluding non-structural parts as e.g. labels). To be interchangeable the parts may be morphologically identical or they may be fully identical.
By providing a system in which a given device cap can only be mounted on a corresponding device main portion the cap can be used to safely identify the drug content of a given drug delivery device without the risk of a user mounting a given cap on a non-corresponding device main portion with the possible risk of taking the wrong medication, e.g. mounting a cap indicating short acting insulin on a main device portion containing long acting insulin. The different caps of the system may vary by e.g. colour and/or physical configuration.
As appears, the above-described coding feature provides a drug delivery system which is much safer in use than previous systems on the markets using e.g. colour marked caps, such caps being identical apart from the colour and thus allowing non-corresponding caps and main portions to be attached to each other with the resulting possible risk of taking the wrong medication.
The delivery system may comprise at least one further drug delivery device, each further device having a main portion and a cap comprising a pair of corresponding key structures, wherein the key structure of any given cap prevents the given cap to be mounted on a main portion of another drug delivery device of the system.
In exemplary embodiments the corresponding key structures are mechanical, e.g. “key hole” and “key” structures allowing only corresponding cap and main portions to be assembled. The key structure of each cap may be arranged interiorly in the cap, whereas each main portion of the system may comprise a reservoir holder enclosing at least a portion of a reservoir, the reservoir holder comprising the key structure of the main portion.
Alternatively the corresponding key structures may be electronic or electric, e.g. in case the cap and/or the main portion comprise electronic means, placing a non-corresponding cap on a given main portion would result in the cap and/or main portion producing an alarm, e.g. a visual, tactile or sound signal.
In exemplary embodiments the drug delivery devices are drug injection devices adapted to expel a liquid drug formulation from a reservoir, e.g. a cartridge comprising a displaceable piston. The means for displacing the piston and thereby expel drug may be in the form of a user settable and user actuated mechanism, e.g. as disclosed in U.S. Pat. No. 6,004,297 or US 2009/054839 which are hereby incorporated by reference.
In an exemplary embodiment each main portion comprises a mount for mounting a needle assembly in fluid communication with the reservoir, the corresponding cap being adapted to enclose the mount when mounted on the main portion. The system may correspondingly comprise one or more needle assemblies each comprising a hub adapted to be mounted on any of the mounts of the system, and a hollow needle mounted in the hub and comprising a distal pointed end and a proximal end, the proximal end being adapted to be arranged in fluid communication with a reservoir when the hub is mounted on a mount. When mounted on a corresponding main portion the caps of the system may be adapted to enclose a needle assembly mounted on the mount.
In a further exemplary embodiment each main portion comprises a mouthpiece, the corresponding cap being adapted to enclose the mouthpiece when mounted on the main portion.
To further improve handling and convenience the cap may be provided with one or more inspection openings or windows allowing a user to inspect at least a portion of a mounted needle assembly. In this way a user does not have to remove the cap to check if a needle assembly is mounted or to check the reservoir.
Correspondingly, the main portion may be provided with a user-inspectable portion adapted to be covered by the cap in a mounted position, the cap being provided with one or more inspection openings or windows allowing a user to inspect at least a portion of the user-inspectable portion when the cap is mounted on the main portion.
For example, the user-inspectable portion may comprise a transparent reservoir portionallowing a user to inspect drug contained in the reservoir or the position of a piston located in the reservoir. For easier inspection of the transparent reservoir the cap may be provided with a second set of inspection openings or windows arranged generally opposite the first set, this allowing light to travel through the reservoir.
The cap may be generally non-transparent and be provided with one or more transparent windows, the transparent windows comprising means for reducing transmission of light detrimental to drug contained in the reservoir, e.g. a UV filter. The cap may optionally be provided with the additional features described in co-pending applications PCT/EP2010/058322.
In the above described embodiments the main portion of the drug delivery device comprises a reservoir, however, in alternative versions the different embodiments may be adapted to receive a replaceable reservoir, e.g. a cartridge or canister to be used in combination with a durable type delivery device.
As used herein, the term “drug” is meant to encompass any drug-containing formulation capable of being administered to a patient in a controlled manner, e.g. passed through a delivery means such as a cannula or hollow needle, such as a liquid, solution, gel or fine suspension, or passed through a nozzle or mouthpiece as an aerosol or powder. Representative drugs include pharmaceuticals such as peptides (e.g. insulins, insulin containing drugs, GLP-1 containing drugs as well as derivates thereof), proteins, and hormones, biologically derived or active agents, hormonal and gene based agents, nutritional formulas and other substances in either solid (dispensed), powder or liquid form. In the description of the exemplary embodiments reference will be made to the use of insulin containing drugs or drugs having insulin-like effects. Correspondingly, the term “subcutaneous” infusion is meant to encompass any method of transcutaneous delivery to a subject.
BRIEF DESCRIPTION OF THE DRAWINGS
In the following the invention will be further described with reference to the drawings, wherein
FIG. 1 shows a first embodiment of a drug delivery pen and a needle assembly,
FIG. 2 shows two pairs of pen caps and cartridge holders corresponding to a first embodiment of the invention,
FIG. 3 shows match and mismatch of pen caps and cartridge holders of the first embodiment,
FIG. 4 shows three pairs of pen caps and cartridge holders corresponding to a second embodiment of the invention, and
FIG. 5 shows match and mismatch of pen caps and cartridge holders of the second embodiment.
In the figures like structures are mainly identified by like reference numerals.
DESCRIPTION OF EXEMPLARY EMBODIMENTS
When in the following terms such as “upper” and “lower”, “right” and “left”, “horizontal” and “vertical” or similar relative expressions are used, these only refer to the appended figures and not to an actual situation of use. The shown figures are schematic representations for which reason the configuration of the different structures as well as there relative dimensions are intended to serve illustrative purposes only.
Referring to FIG. 1 a pen-formed drug delivery device 1 will be described. The device corresponds to the general type of device to which the present invention relates but does not incorporate the present invention. The pen comprises a cap portion (or “pen cap”) 100 and a main (or body) portion 3 having a proximal part 4 in which a drug expelling mechanism is arranged, and a distal reservoir part 5 in which a drug-filled transparent cartridge 6 with a distal needle-penetratable septum is arranged and hold in place by a cartridge holder 7 mounted to the proximal part, the cartridge holder having openings allowing a portion of the cartridge to be inspected. The cartridge is provided with a piston 8 driven by a piston rod 9 forming part of the expelling mechanism. A proximal-most button 10 serves to manually set and expel a desired dose of drug. This type of a pen-formed drug delivery device is well known, see e.g. WO 99/38554 to which reference is made for further details in respect of the internal construction of the shown type of pen. In the shown embodiment the pen is a disposable pre-filled device in which the cartridge holder is permanently attached to the proximal part of the main part, the cartridge holder being provided with distal coupling means in the form of an external thread 11 adapted to engage an inner thread of a needle assembly, see below. Alternatively the pen may be a “durable” device in which the cartridge holder is releasably attached to the main part, this allowing the piston rod to be pushed back and a new cartridge to be mounted. In such an arrangement the connection for the needle assembly may be part of the cartridge. The pen cap 100 made from a non-transparent material comprises a generally cylindrical sleeve 101 with a proximal closed end and a distal opening 102, a pocket clip 103 and an inspection opening 104. The proximal end is provided with two opposed generally planar gripping surfaces 110. Special features like e.g. the inspection opening and the gripping surfaces are not relevant for the present invention.
FIG. 1 further shows a needle assembly comprising a hollow infusion needle 21 mounted a cup-formed hub 22 with an inner coupling means in the form of a thread adapted to connect to the external thread 11 of the pen device. The needle comprises a distal pointed portion protruding from the hub as well as a proximal pointed portion adapted to penetrate the cartridge septum when the hub 22 is mounted on the thread 11. In an alternative embodiment a bayonet coupling may be used instead of the threaded connection, e.g. the cup may be provided with a plurality of inwardly projecting protrusions adapted to engage corresponding grooves formed distally on the pen device as disclosed in US 2008/0015519 and shown in FIG. 4. The needle assembly further comprises a needle cap 23 with a skirt portion 24 adapted to releasably engage the hub to thereby protect the distal end of the needle. The needle is normally provided sterile in a container (not shown) having an opening sealed by a peelable membrane, the container being in releasable, e.g. frictional, engagement with the needle hub. The pen-formed drug delivery device 1 and the needle assembly together form a system.
Turning to FIGS. 2 and 3 a first embodiment of the invention will be illustrated. FIG. 2 shows a pair of a first cartridge holder 210 and corresponding first pen cap 220 (in fact, two identical first caps are shown), the pen having a number of axially arranged ribs at the proximal end and the cap having a number of corresponding projections at its proximal end adapted to fit between the ribs. More specifically, the first cartridge holder is provided with three ribs in the form of a central wider rib 212 and two more narrow outer ribs on each side, thereby forming two cartridge slots 214, 215, the central rib protruding distally relative to the outer ribs. The cap comprises a proximal cut-out portion 221 with two opposed axially arranged edges 226, 227 between which two axially oriented projections 224, 225 are arranged, thereby forming a first central cap slot 222 between the two projections as well as second and third cap slots 228, 229 between each projection and its neighbouring edge. The proximal free end surfaces of the projections are inclined towards the central slot.
In accordance with the invention the specific combination of ribs 212, 211, 213 characterized by e.g. their number, width and spacing provide a “key hole” pattern into which a corresponding “key” pattern formed by the cap slots 222, 228, 229 will fit, this as illustrated by the lower matching pair of a cartridge holder and cap shown in FIG. 3. As also appears, the inclined surfaces of the on the cap projections help guide the central rib 212 into the gap between the projections.
FIG. 2 also shows a second cartridge holder 310 provided with a similar set of ribs 311, 312, 313 as on the first cartridge holder, however, the spacing between the ribs are different, this preventing the first cap to be mounted on the second cartridge as illustrated by the upper non-matching pair of cartridge holder and cap shown in FIG. 3. Indeed, a second cap (not shown) with a key corresponding to the second cartridge holder will be provided in a system in accordance with the invention, such a second cap having a combination of slots allowing it to be mounted on the second cap 310 but not on the first cap 210. Indeed, a system in accordance with the invention may comprise three or more matching pairs of a cartridge holder and pen cap, the spacing and width of the ribs and corresponding slots being unique for each such pair.
Turning to FIGS. 4 and 5 a second embodiment of the invention will be described. FIG. 4 shows in part a system 2 comprising a first pair of a first cartridge holder 410 and corresponding first pen cap 420, a second pair of a second cartridge holder 510 and corresponding second pen cap 520, and a third pair of a third cartridge holder 610 and corresponding third pen cap 620. The main portions of the drug delivery devices are represented only by the cartridge holders, however, the remaining part of each main portion may have the same general configuration as the drug delivery device shown and described with reference to FIG. 1. The cartridge holders and the pen caps have the same general configuration comprising a number of common features which will be described with reference to the first pair.
The cartridge holder 410 comprises a central portion adapted to hold a drug cartridge and being provided with a number of windows or openings 401 allowing a drug-filled transparent cartridge to be inspected by a user, a proximal portion 402 adapted to engage a pen body, and a distal portion 403 comprising a mount in the form of a bayonet coupling for a needle assembly.
Distally on the central portion two sets of 180 degrees opposed coding structures are arranged, each set providing a “key hole” into which a corresponding “key” of a pen cap will fit. More specifically, the cartridge holder coding structure comprises first, second and third axially oriented grooves 411, 412, 413 with a pair of axially oriented ribs 415, 416 arranged between the first and second respectively the second and third groove. In the shown embodiment the ribs are flush with the surrounding general surface of the cartridge holder. The distally facing free end surfaces 418, 419 of the ribs and the neighbouring cartridge holder are inclined towards the central second groove, thereby serving as a guide for the key structures on the cab, see below. In the shown embodiment the central groove also serves as a window to allow inspection of the cartridge.
The pen cap 420 in FIG. 4 is shown in a longitudinal cross-sectional view disclosing one of two pairs of 180 degrees opposed “key” coding structures arranged on the proximal inner surface of the pen cap, i.e. the shown key is adapted to engage the opposed hidden key hole structure on the cartridge holder 410. The coding structure comprises first, second and third axially oriented ribs 421, 422, 423 with a pair of axially oriented grooves 415, 416 arranged between the first and second respectively the second and third rib. In the shown embodiment the grooves are flush with the surrounding general inner surface of the pen cap. In an alternative embodiment the coding structures may be arranged proximally on the cartridge with the cap coding structures arranged in the vicinity of the cap opening.
The specific spacing and width of the ribs 421, 422, 423 corresponds to the spacing and width of the grooves 411, 412, 413 on the cartridge holder 410, this allowing the first pen cap 420 to be axially mounted on the first cartridge holder 410. This is illustrated in FIG. 5 showing the first cartridge holder and the first pen cap in fitting engagement. As appears, to illustrate the engagement the distal wall portion of the cap has been cut away leaving only the rig structures.
FIG. 5 also shows how the specific spacing of ribs 621, 622, 623 and grooves 511, 512, 513 prevents the third cap 620 to axially engage the second cartridge holder.
In a specific implementation of the second embodiment the three different cartridge holders could be permanently attached to three pen main bodies and used to hold three drug cartridges containing three different drugs, the three pen caps being provided in three different colours corresponding to the different drugs. As appears, the coding system of the invention would prevent a wrong cap to be mounted on a given cartridge holder, thereby reducing the risk that a user would grab and use a wrong pen comprising the wrong drug.
In an alternative embodiment a system comprising two or more inhalation devices is provided, each device comprising aerosol generating means, an outlet in the form of a mouthpiece and a protective cap adapted to be mounted on the mouthpiece, e.g. as known from U.S. Pat. No. 7,278,425 which is hereby incorporated by reference. In such a system the corresponding key structures may be arranged on the mouthpiece respectively the cap.
In the above description of the preferred embodiments, the different structures and means providing the described functionality for the different components have been described to a degree to which the concept of the present invention will be apparent to the skilled reader. The detailed construction and specification for the different components are considered the object of a normal design procedure performed by the skilled person along the lines set out in the present specification.

Claims (10)

The invention claimed is:
1. A drug delivery system comprising two drug delivery devices,
the first drug delivery device comprising:
a first main portion (410) comprising:
a first reservoir holding a first type of drug,
a first drug outlet, and
a first drug expelling mechanism for expelling drug from the first reservoir through the first drug outlet,
a first cap (420) releasably mountable to the first main portion to enclose the first drug outlet, the first cap comprising a first user-identifiable marking indicating the first type of drug,
the second drug delivery device comprising:
a second main portion (510) comprising:
a second reservoir holding a second type of drug,
a second drug outlet, and
a second drug expelling mechanism for expelling drug from the second reservoir through the second drug outlet,
a second cap (520) releasably mountable to the second main portion to enclose the second outlet, the second cap comprising a second user-identifiable marking indicating the second type of drug,
wherein the cap and main portion of each drug delivery device comprise a pair of corresponding key structures (421, 422, 423, 411, 412, 413) preventing the first cap from being mounted on the second main portion, and the second cap from being mounted on the first main portion, and
wherein the two drug delivery devices in the system are based on the same technology platform by having at least 50% interchangeable parts.
2. A drug delivery system as in claim 1, wherein each main portion comprises a mount (11, 403) for mounting a needle assembly (21, 22) in fluid communication with each respective reservoir, the corresponding cap being adapted to enclose the mount when mounted on the main portion.
3. A drug delivery system as in claim 2, further comprising at least one needle assembly comprising:
a hub (22) adapted to be mounted on any of the mounts of the system, and
a hollow needle (21) mounted in the hub and comprising a distal pointed end and a proximal end, the proximal end being adapted to be arranged in fluid communication with each respective reservoir when the hub is mounted on the mount.
4. A drug delivery system as in claim 3, wherein each cap of the system when mounted on the corresponding main portion are adapted to enclose a needle assembly mounted on each respective mount.
5. A drug delivery system as in claim 1, wherein each main portion comprises a mouthpiece, the corresponding cap being adapted to enclose the mouthpiece when mounted on the main portion.
6. A drug delivery system as in claim 1, comprising at least one further drug delivery device (610), each of the at least one further drug delivery device having a main portion and a cap (620) comprising a pair of corresponding key structures, wherein the pair of corresponding key structures prevents a cap of one drug delivery device of the system from being mounted on a main portion of another drug delivery device of the system.
7. A drug delivery system as in claim 1, wherein the pair of corresponding key structures (421, 422, 423, 411, 412, 413) are mechanical.
8. A drug delivery system as in claim 7, wherein the corresponding key structure of each respective cap is arranged interiorly in the respective cap.
9. A drug delivery system as in claim 1, wherein each main portion of the system comprises a reservoir holder enclosing at least a portion of each respective reservoir, each reservoir holder comprising the corresponding key structure of the respective main portion.
10. A drug delivery system as in claim 1, wherein the pair of corresponding key structures are electric or electronic.
US13/496,671 2009-09-21 2010-09-09 Drug delivery system and device with cap function Expired - Fee Related US10166338B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US13/496,671 US10166338B2 (en) 2009-09-21 2010-09-09 Drug delivery system and device with cap function

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
EP09170841 2009-09-21
EP09170841 2009-09-21
EP09170841.2 2009-09-21
EP09174420.1 2009-10-29
EP09174420 2009-10-29
EP09174420 2009-10-29
US25804309P 2009-11-04 2009-11-04
PCT/EP2010/063246 WO2011032883A1 (en) 2009-09-21 2010-09-09 Drug delivery system and device with cap function
US13/496,671 US10166338B2 (en) 2009-09-21 2010-09-09 Drug delivery system and device with cap function

Publications (2)

Publication Number Publication Date
US20120232474A1 US20120232474A1 (en) 2012-09-13
US10166338B2 true US10166338B2 (en) 2019-01-01

Family

ID=42813175

Family Applications (1)

Application Number Title Priority Date Filing Date
US13/496,671 Expired - Fee Related US10166338B2 (en) 2009-09-21 2010-09-09 Drug delivery system and device with cap function

Country Status (9)

Country Link
US (1) US10166338B2 (en)
EP (1) EP2480266B1 (en)
JP (1) JP5718338B2 (en)
CN (1) CN102481405B (en)
AU (1) AU2010294628B2 (en)
BR (1) BR112012006268A2 (en)
CA (1) CA2773626A1 (en)
RU (1) RU2549310C2 (en)
WO (1) WO2011032883A1 (en)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10864327B2 (en) 2016-01-29 2020-12-15 Companion Medical, Inc. Automatic medication delivery tracking
US11383043B2 (en) 2017-12-12 2022-07-12 Bigfoot Biomedical, Inc. Medicine injection and disease management systems, devices, and methods
US11464459B2 (en) 2017-12-12 2022-10-11 Bigfoot Biomedical, Inc. User interface for diabetes management systems including flash glucose monitor
US11844923B2 (en) 2017-12-12 2023-12-19 Bigfoot Biomedical, Inc. Devices, systems, and methods for estimating active medication from injections
US11896797B2 (en) 2017-12-12 2024-02-13 Bigfoot Biomedical, Inc. Pen cap for insulin injection pens and associated methods and systems
US11931549B2 (en) 2017-12-12 2024-03-19 Bigfoot Biomedical, Inc. User interface for diabetes management systems and devices
US11948671B2 (en) 2019-04-11 2024-04-02 Medtronic Minimed, Inc. Intelligent accessories for medicine dispensing device
US11957884B2 (en) 2017-12-12 2024-04-16 Bigfoot Biomedical, Inc. Insulin injection assistance systems, methods, and devices

Families Citing this family (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011068543A1 (en) 2009-12-04 2011-06-09 Becton, Dickinson And Company Pen needle removal device for a drug delivery device
US20130150802A1 (en) * 2010-04-09 2013-06-13 Sanofi-Aventis Deutschland Gmbh Coded cap for use with a drug delivery device
WO2015061691A1 (en) 2013-10-24 2015-04-30 Trustees Of Boston University Infusion system employing a multi-channel lumen assembly for preventing mischanneling of multiple medicaments
MX2016011173A (en) * 2014-02-26 2016-12-16 Allergan Inc Intraocular implant delivery apparatus and methods of use thereof.
WO2016030348A1 (en) * 2014-08-25 2016-03-03 Novo Nordisk A/S Accessory device with snap feature
WO2016198540A2 (en) * 2015-06-11 2016-12-15 Novo Nordisk A/S Drug delivery device with extended protective cap
JP7125204B2 (en) 2015-07-08 2022-08-24 トラスティーズ オブ ボストン ユニバーシティ Infusion system and its components
USD819198S1 (en) 2016-04-28 2018-05-29 Amgen Inc. Autoinjector with removable cap
WO2018002044A1 (en) 2016-06-29 2018-01-04 Novo Nordisk A/S Drug delivery device with drug differentiation feature
EP3332823A1 (en) 2016-12-07 2018-06-13 Sanofi-Aventis Deutschland GmbH A cap for an injection device
MX2019008110A (en) * 2017-01-06 2019-10-24 Univ Boston Infusion system and components thereof.
AU2020313947A1 (en) 2019-07-16 2022-02-24 Beta Bionics, Inc. Ambulatory device and components thereof
USD1010811S1 (en) 2019-09-30 2024-01-09 Amgen Inc. Handheld drug delivery device
US11278661B2 (en) 2020-03-10 2022-03-22 Beta Bionics, Inc. Infusion system and components thereof
USD973866S1 (en) 2020-11-05 2022-12-27 Amgen Inc. Handheld drug delivery device
USD974547S1 (en) 2020-11-05 2023-01-03 Amgen Inc. Handheld drug delivery device
JP2021500643S (en) 2020-11-05 2022-12-27 Syringe
USD985118S1 (en) 2021-03-10 2023-05-02 Amgen Inc. Handheld drug delivery device
USD985117S1 (en) 2021-03-10 2023-05-02 Amgen Inc. Handheld drug delivery device
USD985116S1 (en) 2021-03-10 2023-05-02 Amgen Inc. Handheld drug delivery device
USD985119S1 (en) 2021-03-30 2023-05-02 Amgen Inc. Handheld drug delivery device

Citations (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH01179861A (en) * 1988-01-08 1989-07-17 Rinnai Corp Hot air space heater
US4883049A (en) * 1985-06-13 1989-11-28 Southmedic Incorporated Apparatus for use in refilling an anesthetic vaporizer
JPH01179861U (en) 1988-06-09 1989-12-25
US5213483A (en) * 1991-06-19 1993-05-25 Strato Medical Corporation Peristaltic infusion pump with removable cassette and mechanically keyed tube set
US5293913A (en) * 1991-07-12 1994-03-15 Minnesota Mining And Manufacturing Company Bottle keying system
JPH08730A (en) 1994-06-22 1996-01-09 Becton Dickinson & Co Liquid chemical feeding pen
US5530531A (en) * 1995-03-15 1996-06-25 Hewlett-Packard Company Multiple cartridge keying apparatus
US5569026A (en) * 1992-06-18 1996-10-29 Storz Endoskop Gmbh Tube pump in which tube can be inserted only in one direction
JPH09168600A (en) 1995-11-16 1997-06-30 Diesse Di Soster Carmen & Co Snc Transfusion device for blood or hemoguidance agent
US5740794A (en) 1994-09-21 1998-04-21 Inhale Therapeutic Systems Apparatus and methods for dispersing dry powder medicaments
WO1999038554A1 (en) 1998-01-30 1999-08-05 Novo Nordisk A/S An injection syringe
US5954700A (en) * 1998-01-13 1999-09-21 Minimed Inc. Medication cartridge for an electronic pen-type injector, or the like, and method of making the same
DE20110690U1 (en) 2001-06-27 2001-09-13 Spyra Heinrich Protection against confusion to prevent an injection aid from being fitted with the wrong medication ampoule
DE20110689U1 (en) * 2001-06-27 2002-01-03 Spyra Heinrich Storage box for injection aids with confusion protection and with other identifying features
WO2003086511A1 (en) 2002-04-16 2003-10-23 Pfizer Health Ab A system and a method for modification of a device and a device suitable for modification
WO2004069314A1 (en) 2003-02-04 2004-08-19 Novo Nordisk A/S Injection device with rotatable dose setting
JP2004538118A (en) 2001-08-27 2004-12-24 ノボ・ノルデイスク・エー/エス Cartridge and drug administration system containing the cartridge
US20060027233A1 (en) 2004-02-24 2006-02-09 Boehringer Ingelheim International Gmbh Nebulizer
US20060100574A1 (en) * 2002-11-18 2006-05-11 Masamitsu Izumi Drip blender, mixing tube, liquid drug container, liquid mixture container, drip blending system and method of blending drip
WO2007060156A1 (en) 2005-11-22 2007-05-31 Novo Nordisk A/S System of different shaped injection devices
US20080015519A1 (en) 2002-07-03 2008-01-17 Novo Nordisk A/S Needle Mounting System And A Method For Mounting A Needle Assembly
WO2008059063A1 (en) 2006-11-17 2008-05-22 Novo Nordisk A/S A medical delivery system comprising a coding mechanism between dosing assembly and medicament container
CN101365505A (en) 2006-01-06 2009-02-11 诺沃-诺迪斯克有限公司 Medication delivery device applying a collapsible reservoir
EP2039384A2 (en) 2007-09-07 2009-03-25 Becton, Dickinson & Company Pen needle assembly for preventing under-torquing and over-torquing of pen needle
DE102008016987A1 (en) 2008-04-03 2009-10-08 Rolf Hessenbruch Insulin syringe i.e. injection pen, for injection of insulin in fatty tissue of diabetic, has closing cap fitted on mechanical part after utilization of syringe such that marking arrows mark and store time of last injection of insulin

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DK166948B1 (en) * 1988-02-10 1993-08-09 Dcp Af 1988 As DOSING UNIT FOR DOSING A NUMBER OF MEASURED QUANTITIES OF A FLUID, SUCH AS INSULIN, FROM A GLASS STUBLE
DK175491D0 (en) * 1991-10-18 1991-10-18 Novo Nordisk As APPARATUS
US5334162A (en) * 1993-03-15 1994-08-02 Eli Lilly And Company Cartridge assembly for a lyophilized compound forming a disposable portion of an injector pen and method for same
US6766799B2 (en) 2001-04-16 2004-07-27 Advanced Inhalation Research, Inc. Inhalation device
DK1819382T3 (en) 2004-10-21 2010-02-15 Novo Nordisk As Injection device with torsion spring and swivel display

Patent Citations (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4883049A (en) * 1985-06-13 1989-11-28 Southmedic Incorporated Apparatus for use in refilling an anesthetic vaporizer
JPH01179861A (en) * 1988-01-08 1989-07-17 Rinnai Corp Hot air space heater
JPH01179861U (en) 1988-06-09 1989-12-25
US5213483A (en) * 1991-06-19 1993-05-25 Strato Medical Corporation Peristaltic infusion pump with removable cassette and mechanically keyed tube set
US5293913A (en) * 1991-07-12 1994-03-15 Minnesota Mining And Manufacturing Company Bottle keying system
US5569026A (en) * 1992-06-18 1996-10-29 Storz Endoskop Gmbh Tube pump in which tube can be inserted only in one direction
JPH08730A (en) 1994-06-22 1996-01-09 Becton Dickinson & Co Liquid chemical feeding pen
US5740794A (en) 1994-09-21 1998-04-21 Inhale Therapeutic Systems Apparatus and methods for dispersing dry powder medicaments
US5785049A (en) 1994-09-21 1998-07-28 Inhale Therapeutic Systems Method and apparatus for dispersion of dry powder medicaments
US5530531A (en) * 1995-03-15 1996-06-25 Hewlett-Packard Company Multiple cartridge keying apparatus
JPH09168600A (en) 1995-11-16 1997-06-30 Diesse Di Soster Carmen & Co Snc Transfusion device for blood or hemoguidance agent
US5954700A (en) * 1998-01-13 1999-09-21 Minimed Inc. Medication cartridge for an electronic pen-type injector, or the like, and method of making the same
WO1999038554A1 (en) 1998-01-30 1999-08-05 Novo Nordisk A/S An injection syringe
DE20110690U1 (en) 2001-06-27 2001-09-13 Spyra Heinrich Protection against confusion to prevent an injection aid from being fitted with the wrong medication ampoule
DE20110689U1 (en) * 2001-06-27 2002-01-03 Spyra Heinrich Storage box for injection aids with confusion protection and with other identifying features
US20100004603A1 (en) * 2001-08-27 2010-01-07 Novo Nordisk A/S Cartridge And Medical Delivery System Accommodating Such Cartridge
JP2004538118A (en) 2001-08-27 2004-12-24 ノボ・ノルデイスク・エー/エス Cartridge and drug administration system containing the cartridge
WO2003086511A1 (en) 2002-04-16 2003-10-23 Pfizer Health Ab A system and a method for modification of a device and a device suitable for modification
US20080015519A1 (en) 2002-07-03 2008-01-17 Novo Nordisk A/S Needle Mounting System And A Method For Mounting A Needle Assembly
US20060100574A1 (en) * 2002-11-18 2006-05-11 Masamitsu Izumi Drip blender, mixing tube, liquid drug container, liquid mixture container, drip blending system and method of blending drip
WO2004069314A1 (en) 2003-02-04 2004-08-19 Novo Nordisk A/S Injection device with rotatable dose setting
US20060027233A1 (en) 2004-02-24 2006-02-09 Boehringer Ingelheim International Gmbh Nebulizer
WO2007060156A1 (en) 2005-11-22 2007-05-31 Novo Nordisk A/S System of different shaped injection devices
CN101365505A (en) 2006-01-06 2009-02-11 诺沃-诺迪斯克有限公司 Medication delivery device applying a collapsible reservoir
WO2008059063A1 (en) 2006-11-17 2008-05-22 Novo Nordisk A/S A medical delivery system comprising a coding mechanism between dosing assembly and medicament container
EP2039384A2 (en) 2007-09-07 2009-03-25 Becton, Dickinson & Company Pen needle assembly for preventing under-torquing and over-torquing of pen needle
DE102008016987A1 (en) 2008-04-03 2009-10-08 Rolf Hessenbruch Insulin syringe i.e. injection pen, for injection of insulin in fatty tissue of diabetic, has closing cap fitted on mechanical part after utilization of syringe such that marking arrows mark and store time of last injection of insulin

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Definition of "cap". Meriam-Webster Dictionary [Online]. http://www.merriam-webster.com/dictionary/cap. Accessed on Dec. 29, 2015. *

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11826555B2 (en) 2016-01-29 2023-11-28 Medtronic Minimed, Inc. Automatic medication delivery tracking
US10864327B2 (en) 2016-01-29 2020-12-15 Companion Medical, Inc. Automatic medication delivery tracking
US11844923B2 (en) 2017-12-12 2023-12-19 Bigfoot Biomedical, Inc. Devices, systems, and methods for estimating active medication from injections
US11547805B2 (en) 2017-12-12 2023-01-10 Bigfoot Biomedical, Inc. Therapy management systems, methods, and devices
US11771835B2 (en) 2017-12-12 2023-10-03 Bigfoot Biomedical, Inc. Therapy assist information and/or tracking device and related methods and systems
US11464459B2 (en) 2017-12-12 2022-10-11 Bigfoot Biomedical, Inc. User interface for diabetes management systems including flash glucose monitor
US11383043B2 (en) 2017-12-12 2022-07-12 Bigfoot Biomedical, Inc. Medicine injection and disease management systems, devices, and methods
US11896797B2 (en) 2017-12-12 2024-02-13 Bigfoot Biomedical, Inc. Pen cap for insulin injection pens and associated methods and systems
US11904145B2 (en) 2017-12-12 2024-02-20 Bigfoot Biomedical, Inc. Diabetes therapy management systems, methods, and devices
US11918789B2 (en) 2017-12-12 2024-03-05 Bigfoot Biomedical, Inc. Therapy management systems, methods, and devices
US11931549B2 (en) 2017-12-12 2024-03-19 Bigfoot Biomedical, Inc. User interface for diabetes management systems and devices
US11944465B2 (en) 2017-12-12 2024-04-02 Bigfoot Biomedical, Inc. Monitor user interface for diabetes management systems including flash glucose
US11957884B2 (en) 2017-12-12 2024-04-16 Bigfoot Biomedical, Inc. Insulin injection assistance systems, methods, and devices
US11948671B2 (en) 2019-04-11 2024-04-02 Medtronic Minimed, Inc. Intelligent accessories for medicine dispensing device

Also Published As

Publication number Publication date
CA2773626A1 (en) 2011-03-24
CN102481405A (en) 2012-05-30
AU2010294628B2 (en) 2014-09-11
JP2013505036A (en) 2013-02-14
EP2480266B1 (en) 2018-05-30
RU2549310C2 (en) 2015-04-27
BR112012006268A2 (en) 2017-05-23
AU2010294628A1 (en) 2012-03-15
CN102481405B (en) 2014-06-18
JP5718338B2 (en) 2015-05-13
EP2480266A1 (en) 2012-08-01
US20120232474A1 (en) 2012-09-13
WO2011032883A1 (en) 2011-03-24
RU2012113410A (en) 2013-10-27

Similar Documents

Publication Publication Date Title
US10166338B2 (en) Drug delivery system and device with cap function
EP2440270B1 (en) Drug delivery device with cap functions for needle assembly
ES2655593T3 (en) Coded element for connecting drug reservoir with articulated flange
JP5784702B2 (en) Coded keying insert for drug cartridge
WO2010142812A1 (en) Drug delivery device with cap functions for inspection
JP2013533076A (en) Coding system and drug delivery system for drug delivery device
TR201809157T4 (en) Coded drug reservoir connector with hinge.
JP2013523294A (en) Method and system for identifying drug delivery devices
US9636462B2 (en) Drug delivery device with shield operated needle actuator
WO2007075839A2 (en) Glucagon injector for emergency treatment of hypoglycemia
JP5986099B2 (en) Tamper evident indicator for drug reservoir
WO2012013585A1 (en) Co-delivery of two medicaments in a single injection
US11672912B2 (en) Cartridge holder assembly for drug delivery device
US20130267905A1 (en) Non-detachable reservoir holder for a drug delivery device
WO2018002044A1 (en) Drug delivery device with drug differentiation feature
US20210178076A1 (en) Drug delivery system with drug differentiation feature
WO2014072499A1 (en) Drug delivery device with integrated shield
WO2016198540A2 (en) Drug delivery device with extended protective cap

Legal Events

Date Code Title Description
AS Assignment

Owner name: NOVO NORDISK A/S, DENMARK

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:NIELSEN, KARSTEN BAKER;LARSEN, ANDRE;SIGNING DATES FROM 20120508 TO 20120515;REEL/FRAME:028567/0594

STCF Information on status: patent grant

Free format text: PATENTED CASE

FEPP Fee payment procedure

Free format text: MAINTENANCE FEE REMINDER MAILED (ORIGINAL EVENT CODE: REM.); ENTITY STATUS OF PATENT OWNER: LARGE ENTITY

LAPS Lapse for failure to pay maintenance fees

Free format text: PATENT EXPIRED FOR FAILURE TO PAY MAINTENANCE FEES (ORIGINAL EVENT CODE: EXP.); ENTITY STATUS OF PATENT OWNER: LARGE ENTITY

STCH Information on status: patent discontinuation

Free format text: PATENT EXPIRED DUE TO NONPAYMENT OF MAINTENANCE FEES UNDER 37 CFR 1.362

FP Lapsed due to failure to pay maintenance fee

Effective date: 20230101